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Sustainability Strategies

Rural health programs to improve the access to care for people with disabilities can sustain program funding through:

  • Contributions from partner organizations
  • Funding from grants and contracts
  • Reimbursement for services, including from Medicaid waiver programs
  • Regular reviews of project performance
  • Analysis of costs and benefits
  • Tax incentives
  • Communication of the value of the program to members and other stakeholders
  • Analysis of return on investment and/or assessment of the monetary benefits of the program
  • Continuity of strong leadership for the program
  • Broadcasting successes to key entities and audiences. See Module 7 on dissemination.

Some community programs may seek reimbursement for certain activities. For more information, see the Reimbursement for Services section of the Care Coordination Toolkit and the Funding and Sustainability Module of the Community Health Workers Toolkit.

Sometimes, the organization that is leading program implementation may decide to absorb the costs of the program in order to sustain it. For example, one program in Nevada County, CA was able to move their program to improve health outcomes for people with disabilities and the program costs into the behavioral health department, creating a more sustainable model for continuing program activities.

Resources to Learn More

Medicaid Issues for People with Disabilities
This page gives a snapshot of current Medicaid reimbursement policies related to disabilities, each of which may impact organizations providing services to Medicaid-eligible individuals with disabilities.
Organization(s): The Arc

Tax Incentives for Businesses
This page provides an overview of the tax incentives that can help cover the costs of implementing necessary changes to make a building accessible to people with a disability.
Organization(s): U.S. Department of Justice